NCLEX Review & Nursing School

MASTECTOMY:

• Lumpectomy: the removal of the lump & sorrounding breast tissue
• Single Mastectomy: removal of just the breast.
• Radical Mastectomy: Removal of the breast, muscle layer and down to the chest wall.
• – the axillary lymph nodes are also removed.

– removal of all of the breast tissue

• Prophylactic surgery and breast reconstruction.

– preventive removal of the breast to lower the risk of breast cancer in high-risk people

Chemotherapy

Most common used chemotherapy drugs:

1. Adriamycin (doxorubicin)
2. Cytoxan (cyclophosphamide)
3. fluorouracil (5-fluorouracil or 5-FU)
4. Taxol (chemical name: paclitaxel)
5. Taxotere (chemical name: docetaxel)

Most Common Side Effects:

• anemia/low red blood cell counts
• diarrhea
• fatigue
• hair changes
• infection
• mouth and throat sores
• nail changes
• nausea
• neuropathy (problems with hands and feet)

Hormonal Therapy

Selective estrogen receptor modulators (SERM)

• – block the effects of estrogen in the breast tissue.

Intervention:

Post Mastectomy excercises